Active NPI
Gwenneth Susanne McPherson, NP
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1871894451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R069780
- Practice address
- 9000 Franklin Square Drive
Baltimore, MD 21237 - Phone
- (410) 777-7000
- NPI assigned
- Nov 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R069780 | MD | Primary |
Addresses
Primary practice location
9000 Franklin Square Drive
Baltimore, MD 21237
Mailing address
2418 Meadowside CT
Monkton, MD 21111-1902
Phone (410) 692-5409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R069780 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1871894451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 MEADOWSIDE CT",
"city": "MONKTON",
"state": "MD",
"postal_code": "211111902",
"telephone_number": "410-692-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DRIVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21237",
"telephone_number": "410-777-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "GWENNETH",
"middle_name": "SUSANNE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R069780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.